Organization Active NPI

Centrescope Diagnostics, LLC

  • Speech-Language Pathologist
  • Port Matilda, PA
National Provider Identifier
1891373734
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
CENTRESCOPE DIAGNOSTICS, LLC
Practice address
46 Pauls LN
Port Matilda, PA 16870-7951
Phone
(814) 883-2433
NPI assigned
Mar 31, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elana Kahn Thompson, MS, CCC-SLP/LNPI 1477860922
Title
Speech-Language Pathologist
Phone
(814) 441-4663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

46 Pauls LN
Port Matilda, PA 16870-7951

Mailing address

46 Pauls LN
Port Matilda, PA 16870-7951
Phone (814) 883-2433

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1617148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1891373734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PAULS LN",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707951",
            "telephone_number": "814-883-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PAULS LN",
            "city": "PORT MATILDA",
            "state": "PA",
            "postal_code": "168707951",
            "telephone_number": "814-883-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRESCOPE DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "ELANA",
        "authorized_official_middle_name": "KAHN",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "814-441-4663",
        "authorized_official_credential": "MS, CCC-SLP/L"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Matilda, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.